Klein Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5880 Issued in KY

Legal business name

KLEIN DENTAL GROUP

Practice address

156 Thierman LN
Louisville, KY 40207-5010

Phone

(502) 896-2822

NPI assigned

Aug 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Maurice Klein, D.M.D.

Title

Owner

Phone

(502) 896-2822

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104935949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 THIERMAN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075010",
            "telephone_number": "502-896-2822",
            "fax_number": "502-896-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 THIERMAN LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075010",
            "telephone_number": "502-896-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEIN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-896-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900437",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60058807",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Kleber, RD, LD
• Olivia Klee
• Katherine Kleier-Coates, LCADC
• Brent Allen Kleier, AG-ACNP-BC
• Kathleen Kleier
• Adam Klein
• Alan Barry Klein, MD
• Benjamin Robert Klein, MD
• Bridget McKinney Klein, LMT
• Courtney Joy Klein, PT, DPT

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.